尼泊尔一家三级护理中心缺血性脑卒中青年患者的高血压：一项描述性横断面研究。

Hypertension among Young Adults with Ischemic Stroke of a Tertiary Care Centre in Nepal: A Descriptive Cross-sectional Study.

机构信息

Institute of Neuroscience, Nobel Medical College, Biratnagar, Nepal.

Department of Internal Medicine, Nobel Medical College, Biratnagar, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Aug 12;59(240):775-778. doi: 10.31729/jnma.6812.

DOI:10.31729/jnma.6812

PMID:34508472

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9107848/

Abstract

INTRODUCTION

Ischemic strokes in young patients have been increasing. Younger patients with ischemic stroke tend to have a different long-term prognosis than older patients. Young patients who have residual neurological deficits following ischemic stroke affect their quality of life. This study was carried out to find out the prevalence of hypertension among patients with ischemic stroke in a tertiary care hospital.

METHODS

This descriptive cross-sectional study was conducted in all the patients who were admitted with young ischemic stroke in the Department of Neurology, Nobel Medical College Biratnagar from December 2019 to December 2020 after taking ethical clearance from the Institutional Review Committee (reference number: 332/2019). Convenience sampling was done and data was collected, entered in Microsoft Excel, and analysis was done using Statistical Package for the Social Science software version 16. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Out of the total patients with ischemic stroke in the young adults 30 (40%) (95% Confidence Interval= 28.91-51.08) had hypertension. During follow-up at 6 months, 20 (66.7%) of the patients with hypertension had favorable outcomes with a Modified Rankin Score of 0 or 1. Death during a hospital stay or during follow-up was observed in 2 (7%) of patients with hypertension. Mean age of the patients was 40±4.87 years. Most patients were in the age range of 36-45, 24 (80%).

CONCLUSIONS

Prevalence of hypertension among young patients with ischemic stroke was high compared to other studies.

摘要

简介

年轻患者的缺血性中风病例不断增加。与老年患者相比，年轻缺血性中风患者的长期预后往往不同。患有缺血性中风后仍存在神经功能缺损的年轻患者会影响其生活质量。本研究旨在探讨三级保健医院缺血性中风年轻患者中高血压的患病率。

方法

本研究为描述性横断面研究，于 2019 年 12 月至 2020 年 12 月在比拉德讷格尔诺贝尔医学院神经内科，对因缺血性中风入院的所有年轻患者进行了研究，研究获得了机构审查委员会的伦理批准（参考编号：332/2019）。采用便利抽样法，收集数据并录入 Microsoft Excel，使用社会科学统计软件包 16 版进行分析。计算了 95%置信区间的点估计值以及二分类数据的频率和比例。

结果

在年轻成年人中，缺血性中风患者中高血压的比例为 30 例（40%）（95%置信区间=28.91-51.08）。在 6 个月的随访中，20 例（66.7%）高血压患者的预后良好，改良 Rankin 评分 0 或 1 分。在高血压患者中，有 2 例（7%）在住院期间或随访期间死亡。患者的平均年龄为 40±4.87 岁。大多数患者的年龄在 36-45 岁之间，占 24 例（80%）。